Provider Demographics
NPI:1407029689
Name:DAO, TIMOTHY DUY (MD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:DUY
Last Name:DAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 W 15TH ST STE 320
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7767
Mailing Address - Country:US
Mailing Address - Phone:972-985-8838
Mailing Address - Fax:844-292-1457
Practice Address - Street 1:3801 W 15TH ST
Practice Address - Street 2:BLDG B, SUITE 320
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-4737
Practice Address - Country:US
Practice Address - Phone:972-985-8838
Practice Address - Fax:844-292-1457
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3874207UN0901X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX438029YU6XMedicare PIN